DR. JASON MICHAEL BLOOMBERG M.D.
NPI 1588772115
Family Medicine in Cheyenne, WY

Active since August 25, 2006
3100 HENDERSON DR, SUITE 9, CHEYENNE, WY 82001(307) 426-4673(307) 426-4674 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jason Michael Bloomberg M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASON MICHAEL BLOOMBERG M.D. (NPI 1588772115) is an individual family medicine provider in Cheyenne, Wyoming, licensed in Wyoming (6713A) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1588772115
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JASON MICHAEL BLOOMBERGCredential: M.D.
Location Address3100 HENDERSON DR, SUITE 9Cheyenne, WY 82001-5846
Mailing AddressPo Box 21004Cheyenne, WY 82003-7020 · (307) 426-4673 · Fax (307) 426-4674
Fax(307) 426-4674
Sole ProprietorYes
Enumeration DateAugust 25, 2006
Last NPPES UpdateMay 8, 2008
NPI 1588772115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WY · 6713A Licensed in NE · 22927 Licensed in NV · 11910
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 6713A (WY), 22927 (NE), 11910 (NV)
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License 6713A (WY)
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 11910 (NV)
3100 HENDERSON DR, Cheyenne, WY 82001

Other Identifiers 8

Medicaid1005509998NV
Medicare ID-Type Unspecified4378998WY · Group #
Medicare UPINH76976NV
Medicare UPINH76976WY
Medicare UPINH76976NE
Medicaid119416000WY
Medicare ID-Type UnspecifiedWQBHV120739NV
Medicaid100509999NV

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
3100 HENDERSON DR, SUITE E
CHEYENNE, WY 82001
Clinic/Center
3100 HENDERSON DR, SUITE 9
CHEYENNE, WY 82001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Bloomberg's NPI number?

The NPI number for Jason Bloomberg is 1588772115. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Jason Bloomberg located?

Jason Bloomberg practices at 3100 Henderson Dr Suite 9, Cheyenne, WY 82001. The listed phone number is (307) 426-4673.

What is Jason Bloomberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jason Bloomberg was last updated on May 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.